1. Local Health Authority in Texas Presented by: Department of State Health Services Department of State Health Services Public Health Improvement Program

2. What is a Local Health Authority? A health authority is a physician appointed under the provisions of Local Public Health Reorganization Act, Health and Safety Code, Chapter 121 to administer state and local laws relating to public health within the appointing body's jurisdiction.A health authority is a physician appointed under the provisions of Local Public Health Reorganization Act, Health and Safety Code, Chapter 121 to administer state and local laws relating to public health within the appointing body's jurisdiction. A “physician” means a person licensed to practice medicine by the Texas State Board of Medical Examiners.A “physician” means a person licensed to practice medicine by the Texas State Board of Medical Examiners.

3. Abreviations LHA = Local Health Authority LHD = Local Health Department Department

4. Texas Counties without Local Health Departments A county without a local health department is not obligated to have a local health authority.A county without a local health department is not obligated to have a local health authority. A DSHS Regional Director shall perform the duties of a health authority in a county/jurisdiction where there is no local health authority. (A regional director is a physician who is employed by DSHS and serves as the chief medical officer of a region.)A DSHS Regional Director shall perform the duties of a health authority in a county/jurisdiction where there is no local health authority. (A regional director is a physician who is employed by DSHS and serves as the chief medical officer of a region.) No monetary contribution is required by a county to sustain a local health authority.No monetary contribution is required by a county to sustain a local health authority.

5. DSHS Regions

6. What are the requirements for a Local Health Authority? Be a competent physician with a reputable professional standing who is legally qualified to practice medicine in TexasBe a competent physician with a reputable professional standing who is legally qualified to practice medicine in Texas Be a Resident of TexasBe a Resident of Texas Take and subscribe to the official oath of office required by the Texas Constitution, Article 16, §1,Take and subscribe to the official oath of office required by the Texas Constitution, Article 16, §1, File a copy of the oath and statement of appointed officer with the appropriate DSHS Regional Office within ten working days of the date of taking the oathFile a copy of the oath and statement of appointed officer with the appropriate DSHS Regional Office within ten working days of the date of taking the oath

7. How long is the term of office? 2-year term of office2-year term of office LHA may continue to serve additional terms if reappointed by governing body. (If reappointed, forms must again be completed and submitted.)LHA may continue to serve additional terms if reappointed by governing body. (If reappointed, forms must again be completed and submitted.)

8. Why are the requirements important? A LHA is a state officer when performing duties prescribed by state law.A LHA is a state officer when performing duties prescribed by state law. If a health authority has not been legally appointed or taken the required oath of office, his or her actions as a health authority, including the imposition of control measure in an emergency, may be subject to challenge, and the immunities from lawsuit and liability available to a state officer may not apply.If a health authority has not been legally appointed or taken the required oath of office, his or her actions as a health authority, including the imposition of control measure in an emergency, may be subject to challenge, and the immunities from lawsuit and liability available to a state officer may not apply.

9. Benefits of LHA Gives counties control over Public Health emergencies.Gives counties control over Public Health emergencies. Provides a rapid response to locally occurring conditions, crisis situations and disease outbreaks.Provides a rapid response to locally occurring conditions, crisis situations and disease outbreaks. A higher degree of legal protections for Commissioners and County Judge in areas relating to responsibilities of Public Health.A higher degree of legal protections for Commissioners and County Judge in areas relating to responsibilities of Public Health. Having a LHA could provide opportunities for public health grants and community assessments.Having a LHA could provide opportunities for public health grants and community assessments.

10. Expected LHA Functions in Non- LHD Areas Support the responsible DSHS Regional Office to establish, maintain, and enforce control measures regarding communicable or infectious diseases.Support the responsible DSHS Regional Office to establish, maintain, and enforce control measures regarding communicable or infectious diseases. Ensure the reporting of the presence of contagious, infectious, and dangerous epidemic diseases to the responsible DSHS Regional Office.Ensure the reporting of the presence of contagious, infectious, and dangerous epidemic diseases to the responsible DSHS Regional Office.

11. Expected LHA Functions in Non- LHD Areas Based on the scope of locally provided environmental health services, support the responsible DSHS Regional Office in enforcing state and local public health laws, rules, requirements, and ordinances regarding sanitation and control measures.Based on the scope of locally provided environmental health services, support the responsible DSHS Regional Office in enforcing state and local public health laws, rules, requirements, and ordinances regarding sanitation and control measures.

12. Expected LHA Functions in Non- LHD Areas Ensure local adherence to state law regarding vital statistics collections including accuracy of birth and death records their jurisdiction.Ensure local adherence to state law regarding vital statistics collections including accuracy of birth and death records their jurisdiction. Arrange for or carry out local court ordered testing for STD/HIV of person accused of certain offenses.Arrange for or carry out local court ordered testing for STD/HIV of person accused of certain offenses.

13. Expected LHA Functions in Non- LHD Areas Perform post-exposure evaluation for person exposed to blood-borne pathogens.Perform post-exposure evaluation for person exposed to blood-borne pathogens.

14. Optional LHA Duties in Non-LHD Areas Inform/educate the community including elected officials and the medical community about the importance of reporting contagious and infectious communicable diseasesInform/educate the community including elected officials and the medical community about the importance of reporting contagious and infectious communicable diseases Engage in health planning and disaster planning for the communityEngage in health planning and disaster planning for the community Inform the community about public health concerns/threats.Inform the community about public health concerns/threats.

15. Optional LHA Duties in Non-LHD Areas Prepare/disseminate public health information regarding outbreaks and public health threats to the community.Prepare/disseminate public health information regarding outbreaks and public health threats to the community. Respond to questions or concerns about public health issues/threats from local elected officials, community leaders or community groups/coalitionsRespond to questions or concerns about public health issues/threats from local elected officials, community leaders or community groups/coalitions.

16. Optional LHA Duties in Non-LHD Areas Act as a liaison between local elected officials, local medical community, and DSHS during investigations of food-borne and disease outbreaks and responses to natural disasters.Act as a liaison between local elected officials, local medical community, and DSHS during investigations of food-borne and disease outbreaks and responses to natural disasters. Educate providers in the community to promote public health activities such as disease surveillance.Educate providers in the community to promote public health activities such as disease surveillance.

17. Resources Texas Local Health Authorities http://www.dshs.state.tx.us/rls/lha/default.shtm http://www.dshs.state.tx.us/rls/lha/default.shtmhttp://www.dshs.state.tx.us/rls/lha/default.shtm Texas Legislature Online www.capitol.state.tx.us/statutes/statutes.html www.capitol.state.tx.us/statutes/statutes.html www.capitol.state.tx.us/statutes/statutes.html Department of State Health Services http://www.dshs.state.tx.us/

18. LHA Forms Statement of Appointed OfficerStatement of Appointed Officer (To be completed and signed by newly appointed LHA and submitted to the Secretary of State’s Office before the Oath of Office and Certificate of Appointment forms can be completed.) Certificate of AppointmentCertificate of Appointment (To be completed by elected official within the jurisdiction and mailed to DSHS Regional Office with LHA Oath of Office form. LHA Oath of OfficeLHA Oath of Office (To be completed by LHA and seal of the person administering the oath should be visible. Form should be mailed to DSHS Regional Office with Certificate of Appointment.)

22. Local Health Authority Local Health Authority A Health Authority is a physician who administers state and local laws relating to public health within a local government’s jurisdiction.A Health Authority is a physician who administers state and local laws relating to public health within a local government’s jurisdiction. Appointed by county judge, city council, county commissioner’s court, or health department/district director for 2 year term.Appointed by county judge, city council, county commissioner’s court, or health department/district director for 2 year term. Duties include aiding the state with quarantine, sanitation enforcement, public health law enforcement, reportable diseases, vital statistics collection.Duties include aiding the state with quarantine, sanitation enforcement, public health law enforcement, reportable diseases, vital statistics collection. Mandatory only in jurisdictions that receive funding from DSHS for essential public health services. Preferred in all counties.Mandatory only in jurisdictions that receive funding from DSHS for essential public health services. Preferred in all counties.

23. For more information contact… Name: Devon Casey Department of State Health Services Phone Number: (806) 767-0309 E-Mail: devon.casey@dshs.state.tx.us